SGN2006-00001 CITY TIGARD SIGN PERMIT
M ik DEVELOPMENT SERVICES PERMIT #: SGN2006 -00001
A. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/3/2006
PARCEL: 2S103DD -00800
BUSINESS NAME: TIGARD DONUT ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 80 JURISDICTION: TIG
APPLICANT /AGENT: TIGARD DONUT
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 36" X 30"
TOTAL SIGN AREA: 7 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary A- frame. (36" x 30 ") Sign #1. Valid 1/3/06 through
2/3/06.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date • sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 1/ da •m validity date.
APPROVED BY:
\
PERMITTEE SIGNATURE: - — - ...... i. .
DATE: 1/3/2006
p5- 1i � S IGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site /36/ S 5 MC/ A 6
Address/ Street Address Permit No.: SC ry 7 --- 4 ' 6 - copt1f
Location Expiration Date: 1 /7 co � /c
Suite /Bldg. # City /State Zi
U 0 7 J 7) )_� Receipt #: 2V cl
Name Si pproved By: K--
Property Anne J �/L; v 5' Date: ( 737 ) ; 6
Owner Mailing Address Suite Map/TL #:
Zoning: ( 1
City /State ' Zip Phone
Tenant or
Name _ Electrical Permit Required? ❑ Yes E9—tda
Business / ?g Ot, ✓ ei Doi 14 4 Building Permit Required? ❑ Yes El --Pio
Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit • REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are •
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of
database Tigard's License # 1:1 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 "
• Sign [r Temporary ❑ Wall size requirement: 8 /z x 11 , or 11" x 17"
(Check all that ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: '�" ,
i'.\,4 , ❑ $38.00 Fee ,(Permanent sign, any size)
Total Sign Area (sq. ft.): •
18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq ft.) / ' S Sif Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall, signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES) •
hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this 3 day of ,c , 20 0,(
t .4
Signature of Owner /Agent
Contact Person Name Phone No.
DOI1(1 T
r
CITY OF TIGARD 1 /i /GVVO
13125 SW Hall Blvd. 12:26:28PM
i,„,,,,t Tigard, Oregon 97223 sows
:- IL (503) 639 -4171
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Receipt #: 27200600000000000009
Date: 01/03/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00001 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00001 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Cash TIGARD DONUT KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (2.00)
Payment Total: $18.00
cReceipt.rpt Page 1 of 1